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QuestionAnswered step-by-stepHello, Please help me with this assignment. Thanks. 1. When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of: A) stress B) exercise C) anorexia D) pregnancy 2. There is little consensus on the management of premenstrual dysphoric disorder (PMDD). However, nurses can advise women on several self-help modalities that often improve symptoms. The nurse knows that health teaching has been effective when the patient reports that she has adopted a number of lifestyle changes, including: (Select all that apply.) A) improved nutrition B) regular exercise C) oil of evening primrose D) a daily glass of wine E) smoking cessation 3. Injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who: A) have a history of thrombotic problems or breast cancer B) have difficulty remembering to take oral contraceptives daily C) want menstrual regularity and predictability D) are homeless or mobile and rarely receive health care 4. A woman is 16 weeks pregnant and has elected to terminate her pregnancy. The nurse knows that the most common technique used for medical termination of a pregnancy in the second trimester is: A) vacuum aspiration B) intravenous administration of Pitocin C) instillation of hypertonic saline into the uterine cavity D) dilation and evacuation (D&E) 5. A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs). The nurse’s most appropriate reply is: A) “You would be much safer going on the pill and not having to worry.” B) “They can be effective for many couples, but they require motivation.” C) “These methods have a few advantages and several health risks.” D) “They’re not very effective, and it’s very likely you’ll get pregnant.” 6. A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse’s most appropriate response is: A) “Smoking can give you lung cancer, even though it has no effect on sperm.” B) “Smoking can reduce the quality of your sperm.” C) “Your sperm count seems to be okay in the first semen analysis.” D) “Only marijuana cigarettes affect sperm count.” 7. A couple is trying to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. The nurse’s most appropriate response is: A) “Get involved with a support group. I’ll give you some names.” B) “Tell your friends and family so they can help you.” C) “Talk only to other friends who are infertile because only they can help.” D) “Start adoption proceedings immediately because it is very difficult to obtain an infant.” 8. A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse’s most appropriate response is: A) “Ten percent is a very low risk, so you don’t need to worry too much.” B) “No one has ever had more than triplets with Clomid.” C) “Ovulation will be monitored with ultrasound so that this will not happen.” D) “This is a legitimate concern. Would you like to discuss this further before your treatment begins?” 9. At approximately _ weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110 g. A) 24 B) 20 C) 28 D) 30 10. As relates to the structure and function of the placenta, the maternity nurse should be aware that: A) the placenta is able to keep out most potentially toxic substances such as cigarette smoke to which the mother is exposed B) as the placenta widens, it gradually thins to allow easier passage of air and nutrients C) as one of its early functions, the placenta acts as an endocrine gland D) optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing 11. With regard to chromosome abnormalities, nurses should be aware that: A) unbalanced translocation results in a mild abnormality a child will outgrow B) Down syndrome is a result of an abnormal chromosome structure C) abnormalities of number are a leading cause of pregnancy loss. D) occur in approximately 10% of newborns 12. Sally comes in for her first prenatal examination. This is her first child. She asks you (the nurse), “How does my baby get air inside my uterus?” The correct response is: A) “The placenta delivers oxygen-rich blood through the umbilical artery to the baby’s abdomen.” B) “The baby’s lungs work in utero to exchange oxygen and carbon dioxide.” C) “The baby absorbs oxygen from your blood system.” D) “The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream.” 13. The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.) A) Palpation of fetal outline B) Identification of fetal heartbeat C) Positive hCG test D) Verification of fetal movement E) Visualization of the fetus 14. To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that: A) all of the above changes will likely occur B) changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term C) a pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy sheotherwise may appear D) palpitations are twice as likely to occur in twin gestations 15. To reassure and educate pregnant patients about changes in their breasts, nurses should be aware that: A) the visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery’s tubercles and possibly infection of the tubercles B) lactation is inhibited until the estrogen level declines after birth C) the mammary glands do not develop until 2 weeks before labor D) colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding 16. The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change? A) She will have increased lordosis B) She will notice decreased mobility of her pelvic joints C) Her center of gravity will shift backward D) She will have increased abdominal muscle tone 17. A woman is 6 weeks pregnant. She had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL system?__________ A) 3-1-0-1-0 B) 1-0-3-1-0 C) 1-0-0-1-3 D) 0-1-0-1-3 18. During pregnancy, many changes occur as a direct result of the presence of the fetus. Which of these adaptations meet this criterion? (Select all that apply.) A) Leukorrhea B) Development of the operculum C) Quickening D) Ballottement E) Lightening 19. The nurse caring for the pregnant patient must understand that the hormone essential for maintaining pregnancy is: A) estrogen B) progesterone C) oxytocin D) human chorionic gonadotropin (hCG) 20. Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? A) Increased blood pressure B) Increased pulse rate C) Less audible heart sounds (S1, S2) D) Decreased red blood cell (RBC) production 21. To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that: A) increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty B) increased urinary output makes pregnant women less susceptible to urinary infection C) using diuretics during pregnancy can help keep kidney function regular D) renal (kidney) function is more efficient when the woman assumes a supine position 22. A patient at 24 weeks of gestation contacts the nurse at her obstetric provider’s office to complain that she has cravings for dirt and gravel. The nurse is aware that this condition is known as _ and may indicate anemia. A) pyrosis B) pica C) ptyalism D) peristalsis 23. Which statement about a condition of pregnancy is accurate? A) Hyperthyroidism often develops (temporarily) because hormone production increases B) Acid indigestion (pyrosis) begins early but declines throughout pregnancy C) Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial D) Insufficient salivation (ptyalism) is caused by increases in estrogen 24. A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level? A) Not palpable above the symphysis at this time B) At the level of the umbilicus C) Slightly above the symphysis pubis D) Slightly above the umbilicus 25. To reassure and educate pregnant patients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that: A) increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester B) because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate C) the deepening color of the vaginal mucosa and cervix (Chadwick’s sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor D) Quickening is a technique of palpating the fetus to engage it in passive movement 26. Extra Credit:A woman is in her seventh month of pregnancy. She has been reporting nasal congestion and occasional epistaxis. The nurse suspects that: A) this is a normal respiratory change in pregnancy caused by elevated levels of estrogen B) the woman is a victim of domestic violence and is being hit in the face by her partner C) the woman has been using cocaine intranasally D) this is an abnormal cardiovascular change, and the nosebleeds are an ominous sign Health ScienceScienceNursingShare Question
